Wow. That patient should have been started on fluids the second they rolled through that door. We have a DKA/HHS protocol in place. It's really useful.
I love students! ? I have rarely had a bad experience with one. To see their excitement when they learn a new skill or see something they learned about in "real life" is awesome. I'm actually getting my masters in nursing education.
Hello, I came from a telemetry/intermediate care before I switched to a medical ICU. I stayed at tele for 2 years before applying for ICU. I found that it gave me enough time to really get my assessment/basic nursing skills up to par to handle a crit...
We have monitors along the walls throughout the unit, not just at the desk. Each hallway has 2 monitors at each end. From any computer, you can see monitors. No patient names, just room numbers.
kataraang replied to ehamlin92's topic in Disabilities
Hello, I was just diagnosed with RA in March. I am a full time ICU nurse. I've been in practice about 2 years now. RA affects individuals very differently so it kind of depends. For me, I was wearing a boot on my ankle and needed PT (while still work...
Altered mental status. He had infected wounds needing debridement and IV antibiotics. He was a little altered during this time, not as responsive as baseline, HR dropping to 40s occasionally. The next day after rewarming he was more interactive.
Patient with C6 spinal injury from 10 years ago with autonomic dysreflexia. MAPs ranging from 40s to 80s, HR as low as 45. His documented temps had been normal but when I came on shift it was 32.7. I tried it oral, axillary, rectal (though he has fle...
kataraang replied to Michnurse1's topic in Medications
***Always check policy, asking a manager would be a good idea. Proper practice vs. what actually happens varies. But in my experience, there are times where I don't return to the pyxis..Like if a patient decides after I have opened the med that they ...
That is confusing...most central lines are at least a double if not triple lumen. So you could have levo and vanc running in their own primary lines. There shouldn't be any mixing of them, because while vanc is running as a piggy back, none of the le...
I had a patient file a formal complaint and threatened legal action because I didn't flush before and after a med (total lie), that I gave his med late (he refused it at the scheduled time), and that I acted "annoyed" at him. It bothered me for a few...
kataraang replied to redheadrn86's topic in Disabilities
I have never been asked before, but I have a feeling they have been noticed. Fluorescent light is the WORST for making them visible. I think they are probably worse looking to me than to most others. 99% of people probably don't care. But I notice I ...
I work in the IMCU. It's a 1:4 ratio. Vitals q4. Most patient on tele but occasionally one isn't (usually med-surg overflow, or patients who have stabilized enough and are near discharge). We do some drips (such as nitro, dobutamine, lasix, amio, dil...
Thank you everyone! A lot more clarity for me now. I will also ask my unit educator. Seems like I should have scored 4. She had almost no voluntary movement on left (though sensation intact). She at times could wiggle a toe but it wasn't always. Noth...